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Mommy Makeover is simply a new marketing term for the combination of Tummy Tuck, Breast Surgery and Liposuction. These time-tested surgical procedures are the ones to which women most often turn to restore their bodies to what they enjoyed prior to their pregnancies. Women who are unhappy about the toll their pregnancies have taken on their bodies can readily identify with this term. Since most women find that exercise and dieting fall short in restoring the body to their pre-motherhood condition, women who are serious about finding a solution will turn to the ultimate fix, the Mommy Makeover. A woman’s self-esteem and self-image are often tied to her appearance, making sagging breasts and a loose, protruding tummy no small matter.
Exactly what havoc do pregnancies wreak upon the female body?
The breasts enlarge during pregnancy and endure further stretching with engorgement from milk throughout the breastfeeding phase. The skin stretches but often does not recover to its former integrity, because the elastin and the collagen fibers have been permanently altered. This stretching of the skin changes the shape of the breasts and can reduce the overall size. Patients often note that they wear a smaller bra size after their pregnancies than they did before their pregnancies.
Older mothers tend to suffer a larger impact from their pregnancies on their breasts and abdomen than younger mothers. Their skin tone is already compromised somewhat by the passage of time and the changes wrought by pregnancy and breastfeeding only add further insult.
Cosmetic surgery addresses these issues, restoring volume and youthful contours to the breasts and a firm, flatter profile to the abdomen. The procedure flowcharts illustrates the problems areas a woman may have after her pregnancies are completed and how a Mommy Makeover can restore her figure in ways that no amount of dieting and exercise can ever achieve. This is a generalized illustration. An actual consultation is needed to customize a Mommy Makeover to meet the particular needs of each patient.
As illustrated in the procedure flowcharts, the critical question is whether or not a woman is satisfied with her current breast volume. If she feels her volume is sufficient, a breast lift can work wonders, while avoiding the complications that can be involved with breast implants. If possible, it is always better to work with a woman’s natural breast tissue.
If the breast volume is inadequate, then breast implants are needed. The primary goal is for the woman to be happy with her breast volume and the use of saline or silicone breast implants may be necessary to achieve that status.
Often, increasing the breast volume with saline or silicone implants may solve a woman’s entire breast issues, as long as the nipple-areolar complex is pointing forward.
However, if the nipple-areolar complex is too low, or the nipples are pointing downward, a breast lift is indicated.
Breast Surgery is one of the two essential components of a Mommy Makeover. Mommy Makeover Breast Surgery may be simply Breast Augmentation, or it may be a Breast Lift (Mastopexy) or it may be a combination of Breast Augmentation and a Breast Lift.
Loose abdominal skin and a protruding abdomen are two things with which many women wrestle, especially after bearing children. Gone is the flat, taut abdomen of their youth. While breasts can be contained and enhanced with a myriad of patented padded or push-up bras, an overly ample abdomen is more difficult to hide. Elasticized body slimmers are uncomfortable, limited in what they can accomplish and definitely not the answer for intimate situations. A woman can find herself relegated to a closet full of loose, baggy clothing, which can be depressing.
What is the impact of pregnancy on the abdomen and torso? The effect of even a five to seven pound fetus carried in the abdomen is extensive stretching of the abdominal wall, with multiple pregnancies having an even more profound effect. The skin stretches to a point that permanent scars, commonly called stretch marks, occur. Even years after delivery, the skin remains loose and may even sag so much that an apron of loose skin exists. If a Caesarian Section has been performed, a ledge may have formed above the incision. Not only has the skin been stretched, but the underlying abdominal wall has been stretched out as well, resulting in a permanent bulge of the abdomen.
A Tummy Tuck (Abdominoplasty) is the treatment of choice for this condition. The Tummy Tuck procedure tightens the underlying muscular wall, which flattens the abdomen and pulls in the waist. Dr. Delgado specializes in an advanced waist tightening procedure which accentuates the waistline even further. This is an option for patients who wish to have as small a waist as possible. After the muscle wall is tightened, with Dr. Delgado’s very secure weave technique, the loose abdominal skin is superficially pulled downward and after the excess skin excised, the skin is sutured into position. This restores pre-pregnancy tightness to the abdomen.
Without changing its anatomical position, the belly button is then re-emerged through the tightened abdomen skin. This is where the skill of an experienced surgeon shines. A nice looking belly button is critical to a successful Tummy Tuck. The incision must be tucked inward, creating an “innie” belly button and the size must be just right. Dr. Delgado discusses this element of the surgery in detail with the patient pre-operatively.
An extra benefit of a Tummy Tuck is that much, but not all, of the stretch marks are removed with the excision of the excess skin. The lower abdominal stretch marks are the ones primarily impacted; stretch marks on the upper abdomen and torso will remain. So, not only does the abdomen regain a firm, youthful profile, but with the removal of many of the stretch marks, the appearance of the skin is improved as well.
The final component of a Mommy Makeover is Liposuction. The Liposuction techniques vary. It could be Tumescent Liposuction, Ultrasonic Liposuction, Vaser Liposuction, or any combination of these. Liposuction is very useful for contouring the flanks and back areas and narrowing the waistline. You can see the difference this makes in a waistline in the before and after photos.
Put together, Breast Surgery, Tummy Tuck and Liposuction
can be an extremely positive, life-altering experience for a woman,
enhancing her self-image and self-esteem throughout her lifetime.
The Mommy Makeover consists of a Tummy Tuck (Abdominoplasty,) with a Breast Lift (Mastopexy,) Breast Lift with Breast Implants, or Breast Augmentation alone and Liposuction. Naturally, these procedures in combination represent more complications than any one procedure alone and these will be addressed in the next section.
Complications can occur with surgery. An experienced surgeon will keep these to a minimum and will handle them conscientiously and with sound judgment.
As you look to choose a plastic surgeon, be mindful that Dr. Delgado will remain just as engaged, concerned and caring about your results after surgery has been completed, as he was prior to surgery and during the surgical procedure itself. Not only is he a perfectionist with his surgical technique, but his commitment to his patients’ satisfaction extends way beyond the day of surgery.
The Mommy Makeover process is not without discomfort, although the OnQ™ pain pump and oral pain medications are extremely helpful in maintaining an acceptable level. You are provided with a detailed booklet which will help you and your family prepare for your post-surgical recovery. It takes two weeks before you will really feel good again and be able to get around as usual. At this point, you can resume driving and doing most of the things you normally do around the house. However, you should refrain from formal exercise for a full six weeks in order to allow for adequate healing and avoid a recurrence of pain and swelling.
As with any surgery, there are the risks of infection and bleeding, but they are rare. Unfortunately, incisions are a necessary part of a Mommy Makeover. The incisions are hidden under underwear, bra and swimsuit lines and they blend into your skin tone over time. (See the sections on Tummy Tuck and Breast Surgeries for more specifics on complications.)
A major complication of Mommy Makeover is to avoid blood clots, also known as thromboembolism. This is a life-threatening complication and at Marin Cosmetic Surgery Center, a number of proactive precautions are taken to prevent this from occurring.
As you look to choose a plastic surgeon for your surgery needs, be aware that the best choice is a physician who is a plastic and reconstructive surgeon who is in good standing and certified by the American Board of Plastic Surgery. Although these credentials do not promise a good outcome, they do assure you that you will be working with the gold standard of the plastic surgery industry. For even further assurance that you are choosing the most qualified surgeon, look for members of the Aesthetics Society, ASAPS (American Society for Aesthetic Plastic Surgery). The Aesthetics Society requires extensive continuing education of its membership. This group of surgeons specializes in cosmetic surgery, such as the Mommy Makeover.
Mommy Makeover patients are some of the happiest patients. The results from these procedures are positive and life-changing. If you think that you would benefit from these procedures, do schedule a consultation with Dr. Delgado to discuss your situation. Dr. Delgado will take the time to hear your concerns and, with his extensive expertise and experience, present the best options for you and your budget to achieve your goals.
Please take the time to contact us by phone at: (415) 898-4161 or by filling out the form below:
SAN FRANCISCO OFFICE
450 Sutter Suite 2433
San Francisco, CA 94108
165 Rowland Way Suite 300
Novato, CA 94945
Informative Mommy Makeover Videos
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